Joseph Peila, MD
Internal Medicine · Billings, MTNPI 1669739710
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $147,475 of the $147,725 with a category attached, or 99.8%. Takeda Pharmaceuticals U.S.A., Inc. accounts for 98.3% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $37,901, more than ten times the $2,275 reported in 2019. Among internal medicine clinicians in MT with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 63 payments — averaging $2344.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Takeda Pharmaceuticals U.S.A., Inc.$145K
- Shire North American Group Inc$2K
- Novo Nordisk$163
- Edwards Lifesciences$46
- Inspire Medical Systems, Inc.$27
- Lilly USA, LLC$14
What the payments were for
- Consulting fees$147,475100%
- Food & beverage$2500%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | 49 | $145,200 |
| Shire North American Group Inc | 2 | $2,275 |
| Novo Nordisk | 9 | $163 |
| Edwards Lifesciences | 1 | $46 |
| Inspire Medical Systems, Inc. | 1 | $27 |
| Lilly USA, LLC | 1 | $14 |
How this compares
$147,725 in reported general payments places this provider in the 95th percentile of 244 internal medicine providers in Montana.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 72 | $96,702 |
| OzempicSemaglutide | 57 | $80,019 |
| MounjaroTirzepatide | 37 | $45,243 |
| TrulicityDulaglutide | 36 | $40,528 |
| JardianceEmpagliflozin | 37 | $36,800 |
| XareltoRivaroxaban | 23 | $22,917 |
| Spiriva HandihalerTiotropium Bromide | 14 | $11,472 |
| Tresiba Flextouch U-200Insulin Degludec | 12 | $7,016 |
| Lantus SolostarInsulin Glargine,hum.Rec.Anlog | 51 | $5,628 |
| Breo ElliptaFluticasone/Vilanterol | 12 | $5,205 |
| Fluticasone-SalmeterolFluticasone Propion/Salmeterol | 15 | $3,607 |
| Atorvastatin Calcium | 379 | $3,396 |
| Tamsulosin Hcl | 158 | $3,250 |
| SynthroidLevothyroxine Sodium | 27 | $2,824 |
| Novolog FlexpenInsulin Aspart | 20 | $2,628 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Lilly USA, LLCMounjaro, Trulicity | $14 | $85,77173 claims |
| Novo NordiskOzempic | $163 | $80,01957 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 244 internal medicine providers in Montana.
Other internal medicine in Billings
- Kari KaleBillings$83K
- Tracy RauschBillings$11K
- Brian HessBillings$8K
- Jessica HogeBillings$4K
- Justen RudolphBillings$2K
- Michael MetzgerBillings$1K
- Lucinda HusbyBillings$659
- Michael HaganBillings$261
- Faranak ArganiBillings$220
- Hayley MillerMissoula$67K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.